US6329345B1 - 13-membered azalides and their use as antibiotic agents - Google Patents

13-membered azalides and their use as antibiotic agents Download PDF

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US6329345B1
US6329345B1 US09/442,530 US44253099A US6329345B1 US 6329345 B1 US6329345 B1 US 6329345B1 US 44253099 A US44253099 A US 44253099A US 6329345 B1 US6329345 B1 US 6329345B1
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alkyl
alkenyl
alkynyl
hydrogen
aryl
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Robert J. Rafka
Barry J. Morton
Colman B. Ragan
Peter Bertinato
John P. Dirlam
Alan E. Blize
Carl B. Ziegler
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Zoetis Services LLC
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Pfizer Inc
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H17/00Compounds containing heterocyclic radicals directly attached to hetero atoms of saccharide radicals
    • C07H17/04Heterocyclic radicals containing only oxygen as ring hetero atoms
    • C07H17/08Hetero rings containing eight or more ring members, e.g. erythromycins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P33/00Antiparasitic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P33/00Antiparasitic agents
    • A61P33/02Antiprotozoals, e.g. for leishmaniasis, trichomoniasis, toxoplasmosis
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H17/00Compounds containing heterocyclic radicals directly attached to hetero atoms of saccharide radicals

Definitions

  • This invention relates to novel 13-membered azalides that are useful as antibacterial and antiprotozoa agents in mammals, including man, as well as in fish and birds.
  • This invention also relates to pharmaceutical compositions containing the novel compounds, and to methods of treating bacterial infections and protozoa infections in mammals, fish and birds by administering the novel compounds to mammals, fish and birds requiring such treatment.
  • Macrolide antibiotics are known to be useful in the treatment of a broad spectrum of bacterial infections and protozoa infections in mammals, fish and birds.
  • Such antibiotics include various derivatives of erythromycin A, such as azithromycin.
  • Azithromycin is commercially available, and is referred to in U.S. Pat. Nos. 4,474,768 and 4,517,359, both of which are incorporated herein by reference in their entirety.
  • novel macrolide compounds of the present invention possess potent activity against various bacterial and protozoa infections as described below.
  • the present invention relates to a compound of the formula 1
  • R 2 is hydrogen or C 1 -C 4 alkyl
  • R 3 is hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 2 -C 10 alkynyl, —(CH 2 ) m (C 6 -C 10 aryl), -(CH 2 ) m (C 6 -C 10 heterocyclic) or aryl, each, other than hydrogen, being optionally substituted with 1 to 3 substituents independently selected from halogen, cyano, nitro, trifluoromethyl, azido, —C(O)C 1 -C 10 alkyl, —C(O)C 2 -C 10 alkenyl, —C(O)C 2 -C 10 alkynyl, —OC(O)C 1 -C 10 alkyl, —OC(O)C 2 -C 10 alkenyl, —OC(O)C 2 -C 10 alkynyl, —N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl
  • n is an integer ranging from 0 to 4.
  • each R 4 is hydrogen, —(CH 2 ) m (C 6 -C 10 aryl) or —(CH 2 ) m (C 6 -C 10 heterocyclic), each, other than hydrogen, being optionally substituted with 1 to 3 substituents independently selected from halo, cyano, nitro, trifluoromethyl, azido, —C(O)C 1 -C 10 alkyl, —C(O)C 2 -C 10 alkenyl, —C(O)C 2 -C 10 alkynyl, —OC(O)C 1 -C 10 alkyl, —OC(O)C 2 -C 10 alkenyl, —OC(O)C 2 -C 10 alkynyl, —N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl)C(O)(C 1 -C 10 alkyl, C 2 -C 10 alken
  • n is an integer from 0 to 5;
  • R 6 is hydrogen or methyl
  • each R 7 is independently hydrogen, C 1 -C 20 alkyl, C 2 -C 20 alkenyl, C 2 -C 20 alkynyl, —(O)C 1 -C 20 alkyl, —C(O)C 2 -C 20 alkenyl, —C(O)C 2 -C 20 alkynyl, —C(O)N(H)C 1 -C 10 alkyl, —C(O)N(H)C 2 C 20 alkenyl, —C(O)N(H)C 2 -C 20 alkynyl, —SO 2 (O)C 1 -C 20 alkyl, —SO 2 (O)C 2 -C 20 alkenyl, —SO 2 (O)C 2 -C 20 alkynyl or —PO 4 2 ⁇ ;
  • R 8 is hydrogen or methyl
  • R 12 is C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 2 -C 10 alkynyl, cyano, —CH 2 S(O) p C 10 -C 10 alkyl, —CH 2 S(O) p C 2 -C 10 alkenyl, —CH 2 S(O) p C 2 -C 10 alkynyl, wherein p is an integer ranging from 0 to 2, —CH 2 O(C 1 -C 10 alkyl), —CH 2 O(C 2 -C 10 alkenyl), —CH 2 O(C 2 -C 10 alkynyl), —CH 2 N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl)(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl), —(CH 2 )
  • the present invention further relates to a compound of the formula 15
  • R 2 is hydrogen or C 1 -C 4 alkyl
  • R 3 is hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 2 -C 10 alkynyl, —(CH 2 ) m (C 6 -C 10 aryl), —(CH 2 ) m (C 6 -C 10 heterocyclic) or aryl, each, other than hydrogen, being optionally substituted with 1 to 3 substituents independently selected from halogen, cyano, nitro, trifluoromethyl, azido, —C(O)C 1 -C 10 alkyl, —C(O)C 2 -C 10 alkenyl, —C(O)C 2 -C 10 alkynyl, —OC(O)C 1 -C 10 alkyl, —OC(O)C 2 -C 10 alkenyl, —OC(O)C 2 -C 10 alkynyl, —N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl
  • n is an integer ranging from 0 to 4.
  • each R 4 is hydrogen, —(CH 2 ) m (C 6 -C 10 aryl) or —(CH 2 ) m (C 6 -C 10 heterocyclic), each, other than hydrogen, being optionally substituted with 1 to 3 substituents independently selected from halo, cyano, nitro, trifluoromethyl, azido, —C(O)C 1 -C 10 alkyl, —C(O)C 2 -C 10 alkenyl, —C(O)C 2 -C 10 alkynyl, —OC(O)C 1 -C 10 alkyl, —OC(O)C 2 -C 10 alkenyl, —OC(O)C 2 -C 10 alkynyl, —N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl)C(O)(C 1 -C 10 alkyl, C 2 -C 10 alken
  • n is an integer from 0 to 5;
  • R 6 is hydrogen or methyl
  • each R 7 is independently hydrogen, C 1 -C 20 alkyl, C 2 -C 20 alkenyl, C 2 -C 20 alkynyl, —C(O)C 1 -C 20 alkyl, —C(O)C 2 -C 20 alkenyl, —C(O)C 2 -C 20 alkynyl, —C(O)N(H)C 1 -C 10 alkyl, —C(O)N(H)C 2 -C 20 alkenyl, —C(O)N(H)C 2 -C 20 alkynyl, —SO 2 (O)C 1 -C 20 alkyl, —SO 2 (O)C 2-C 20 alkenyl, —SO 2 (O)C 2 -C 20 alkynyl or —PO 4 2 ⁇ ;
  • R 8 is hydrogen or methyl
  • R 10 is an alpha-branched C 2 -C 8 alkyl, alkenyl, alkynyl, alkoxyalkyl or alkylthioalkyl group, any of which may optionally be substituted by one or more hydroxyl groups; a C 5 -C 8 cycloalkylalkyl group wherein the alkyl group is an alpha-branched C 2 -C 5 alkyl group; a C 3 -C 8 cycloalkyl or C 5 -C 8 cycloalkenyl group, either of which may optionally be substituted by methyl or one or more hydroxyl, one or more C 1 -C 4 alkyl groups or halo atoms; or a 3 to 6 membered oxygen or sulphur containing heterocyclic ring which may be saturated, or fully or partially unsaturated and which may optionally be substituted by one or more C 1 -C 4 alkyl groups or halo atoms; or R 10 is phenyl which may be
  • Y is O, S or —CH 2 —
  • a, b, c, and d is each independently an integer ranging from 0-2 and a+b+c+d ⁇ 5;
  • R 11 is hydrogen or —OH
  • R 15 is H, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 2 -C 10 alkynyl, cyano, —CH 2 S(O) p C 1 -C 10 alkyl, —CH 2 S(O) p C 2 -C 10 alkenyl, —CH 2 S(O) p C 2 -C 10 alkynyl, wherein p is an integer ranging from 0 to 2, —CH 2 O(C 1 -C 10 alkyl), —CH 2 O(C 2 -C 10 alkenyl), —CH 2 O(C 2 -C 10 alkynyl), —CH 2 N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl)(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl), —(CH 2
  • the present invention also relates to compounds of the formula 2
  • X is —C(O)—or —CH(OR 7 )—
  • R 2 and R 7 are defined above, and R 9 is
  • R 5 is hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 2 -C 10 alkynyl, cyano, —CH 2 S(O) p C 1 -C 10 alkyl, —CH 2 S(O) p C 2 -C 10 alkenyl, —CH 2 S(O) p C 2 -C 10 alkynyl, wherein p is an integer ranging from 0 to 2, —CH 2 O(C 1 -C 10 alkyl), —CH 2 O(C 2 -C 10 alkenyl), —CH 2 O(C 2 -C 10 alkynyl), —CH 2 N(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl)(hydrogen, C 1 -C 10 alkyl, C 2 -C 10 alkenyl or C 2 -C 10 alkynyl), —(CH 2
  • Preferred compounds of formula 2 include those wherein R 7 and R 8 are hydrogen, and R 9 is
  • the compounds of formula 1 and formula 2 are preferably in their isolated or purified form.
  • the invention also relates to a pharmaceutical composition which can be used for the treatment of a bacterial infection or a protozoa infection in a mammal, fish, or bird which comprises a therapeutically effective amount of a compound of formula 1, formula 2, or formula 15 or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
  • the invention also relates to a method of treating a bacterial infection or a protozoa infection in a mammal, fish, or bird which comprises administering to said mammal, fish or bird a therapeutically effective amount of a compound of formula 1, formula 2 or formula 15 or a pharmaceutically acceptable salt thereof.
  • treatment includes the treatment or prevention of a bacterial infection or protozoa infection as provided in the method of the present invention.
  • bacterial infection(s) and protozoa infection(s) include bacterial infections and protozoa infections that occur in mammals, fish and birds as well as disorders related to bacterial infections and protozoa infections that may be treated or prevented by administering antibiotics such as the compounds of the present invention.
  • Such bacterial infections and protozoa infections, and disorders related to such infections include the following: pneumonia, otitis media, sinusitus, bronchitis, tonsillitis, and mastoiditis related to infection by Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, or Peptostreptococcus spp.; pharynigitis, rheumatic fever, and glomerulonephritis related to infection by Streptococcus pyogenes, Groups C and G streptococci, Clostridium diptheriae , or Actinobacillus haemolyticum; respiratory tract infections related to infection by Mycoplasma pneumoniae, Legionella pneumophila, Streptococcus pneumoniae, Haemophilus influenzae , or Chlamydia pneumoniae; uncomplicated skin and soft tissue infections, abscesses and osteomyelitis, and puerperal
  • aureus food poisoning and Toxic shock syndrome
  • Groups A, B, and C streptococci ulcers related to infection by Helicobacter pylori; systemic febrile syndromes related to infection by Borrelia recurrentis; Lyme disease related to infection by Borrelia burgdorferi ; conjunctivitis, keratitis, and dacrocystitis related to infection by Chlamydia trachomatis, Neisseria gonorrhoeae, S. aureus, S. pneumoniae, S. pyogenes, H.
  • MAC Mycobacterium avium complex
  • gastroenteritis related to infection by Campylobacter jejuni
  • intestinal protozoa related to infection by Cryptosporidium spp.
  • odontogenic infection related to infection by viridans streptococci
  • persistent cough related to infection by Bordetella pertussis
  • gas gangrene related to infection by Clostridium perfringens or Bacteroides spp.
  • atherosclerosis related to infection by Helicobacter pylori or Chlamydia pneumoniae.
  • Bacterial infections and protozoa infections and disorders related to such infections that may be treated or prevented in animals include the following: bovine respiratory disease related to infection by P. haem., P. multocida, Mycoplasma bovis , or Bordetella spp.; cow enteric disease related to infection by E. coli or protozoa (i.e., coccidia, cryptosporidia, etc.); dairy cow mastitis related to infection by Staph. aureus, Strep. uberis, Strep. agalactiae, Strep.
  • dysgalactiae Klebsiella spp., Corynebacterium, or Enterococcus spp.
  • swine respiratory disease related to infection by A. pleuro., P. multocida, or Mycoplasma spp.
  • swine enteric disease related to infection by E coli, Lawsonia intracellularis, Salmonella, or Serpulina hyodyisinteriae
  • cow footrot related to infection by Fusobacterium spp.
  • cow metritis related to infection by Fusobacterium spp.
  • cow hairy warts related to infection by Fusobacterium necrophorum or Bacteroides nodosus
  • cow pink-eye related to infection by Moraxella bovis cow premature abortion related to infection by protozoa (i.e.
  • neosporium urinary tract infection in dogs and cats related to infection by E coli ; skin and soft tissue infections in dogs and cats related to infection by Staph. epidermidis, Staph. intermedius, coagulase neg. Staph. or P. multocida; and dental or mouth infections in dogs and cats related to infection by Alcaligenes spp., Bacteroides spp., Clostridium spp., Enterobacter spp., Eubacterium, Peptostreptococcus, Porphyromonas, or Prevotella. Other bacterial infections and protozoa infections and disorders related to such infections that may be treated or prevented in accord with the method of the present invention are referred to in J. P. Sanford et al., “The Sanford Guide To Antimicrobial Therapy,” 26th Edition, (Antimicrobial Therapy, Inc., 1996).
  • the present invention also relates to a method of preparing a compound of formula 1 particularly wherein R 6 , R 7 and R 8 are hydrogen, and R 1 is trans with respect to the methyl group at position 11 of formula 1, or a pharmaceutically acceptable salt thereof, which comprises the step of contacting compound of the formula 5
  • R 9 is as defined for formula 1;
  • R 10 is an alpha-branched C 2 -C 8 alkyl, alkenyl, alkynyl, alkoxyalkyl or alkylthioalkyl group, any of which may optionally be substituted by one or more hydroxyl groups; a C 5 -C 8 cycloalkylalkyl group wherein the alkyl group is an alpha-branched C 2 -C 5 alkyl group; a C 3 -C 8 cycloalkyl or C 5 -C 8 cycloalkenyl group, either of which may optionally be substituted by methyl or one or more hydroxyl, one or more C 1 -C 4 alkyl groups or halo atoms; or a 3 to 6 membered oxygen or sulphur containing heterocyclic ring which may be saturated, or fully or partially unsaturated and which may optionally be substituted by one or more C 1 -C 4 alkyl groups or halo atoms; or R 10 is phenyl which may be
  • Y is O, S or —CH 2 —, a, b, c, and d is each independently an integer ranging from 0-2 and a+b+c+d ⁇ 5;
  • R 11 is hydrogen or —OH, with an acid or a base to result in the formation of a compound of formula 1.
  • the present invention further relates to a method of preparing a compound of formula 1, particularly wherein R 6 , R 7 and R 8 are hydrogen, and R 1 is trans with respect to the methyl group at position 11 of formula 1, or a pharmaceutically acceptable salt thereof, which comprises the step of heating a compound of the formula 5 in the presence of a solvent to result in the formation of a compound of formula 1.
  • the present invention also relates to a method of preparing a compound of formula 15 particularly wherein R 6 , R 7 and R 8 a are hydrogen, and R 1 is trans with respect to the methyl group at position 11 of formula 15, or a pharmaceutically acceptable salt thereof, which comprises the step of contacting compound of the formula 5
  • R 9 is as defined for formula 15;
  • R 10 is an alpha-branched C 2 -C 8 alkyl, alkenyl, alkynyl, alkoxyalkyl or alkylthioalkyl group, any of which may optionally be substituted by one or more hydroxyl groups; a C 5 -C 8 cycloalkylalkyl group wherein the alkyl group is an alpha-branched C 2 -C 5 alkyl group; a C 3 -C 8 cycloalkyl or C 5 -C 8 cycloalkenyl group, either of which may optionally be substituted by methyl or one or more hydroxyl, one or more C 1 -C 4 alkyl groups or halo atoms; or a 3 to 6 membered oxygen or sulphur containing heterocyclic ring which may be saturated, or fully or partially unsaturated and which may optionally be substituted by one or more C 1 -C 4 alkyl groups or halo atoms; or R 10 is phenyl which may be
  • Y is O, S or —CH 2 —, a, b, c, and d is each independently an integer ranging from 0-2 and a+b+c+d ⁇ 5;
  • R 11 is hydrogen or —OH
  • the present invention further relates to a method of preparing a compound of formula 15, particularly wherein R 6 , R 7 and R 8 are hydrogen, and R 1 is trans with respect to the methyl group at position 11 of formula 15, or a pharmaceutically acceptable salt thereof, which comprises the step of heating a compound of the formula 5 in the presence of a solvent to result in the formation of a compound of formula 15.
  • Preferred compounds of formula 5 are those in which R 10 is ethyl, isopropyl, cyclopropyl, sec-butyl, cyclobutyl, cyclopentyl, methylthioethyl or furyl, and R 11 is hydrogen; and those in which R 10 is cyclopropyl or cyclobutyl, and R 11 is —OH.
  • the present invention also relates to the above compounds of formula 5 which, as indicated above, are useful in the preparation of the above compounds of formula 1 or 15 and pharmaceutically acceptable salts thereof.
  • hydroxy protecting group includes acetyl, benzyloxycarbonyl, and various hydroxy protecting groups familiar to those skilled in the art include the groups referred to in T. W. Greene, P. G. M. Wuts, “Protective Groups In Organic Synthesis,” (J. Wiley & Sons, 1991).
  • halo as used herein, unless otherwise indicated, includes fluoro, chloro, bromo or iodo. Preferred halo groups are fluoro, chloro and bromo.
  • alkyl includes saturated monovalent hydrocarbon radicals having straight, cyclic or branched moieties. Such cyclic moieties include cyclopropyl, cyclobutyl and cyclopentyl.
  • the alkyl group may include one or two double or triple bonds. It is to be understood that where cyclic moieties are intended, at least three carbons in said alkyl must be present, and for the alkyl group to include a carbon-carbon double or triple bond, at least two carbon atoms are required in the alkyl group.
  • the alkyl moiety is defined as C 1 -C 10 alkyl, this group includes C 6 -C 10 bicyclo groups such as a bicyclo[3.1.1]heptylmethyl group.
  • alkoxy as used herein, unless otherwise indicated, includes —O-alkyl groups wherein alkyl is as defined above.
  • aryl as used herein, unless otherwise indicated, includes an organic radical derived from an aromatic hydrocarbon by removal of one hydrogen, such as phenyl or naphthyl, as well as benzo-fused carbocyclic moieties such as 5,6,7,8-tetrahydronaphthyl.
  • Non-aromatic heterocyclic groups include groups having only 4 atoms in their ring system, but aromatic heterocyclic groups must have at least 5 atoms in their ring system.
  • the heterocyclic groups include benzo-fused ring systems, and ring systems substituted with one or two oxo moieties.
  • An example of a 5-membered heterocyclic group is thiazolyl
  • an example of a 10-membered heterocyclic group is quinolinyl.
  • non-aromatic heterocyclic groups are pyrrolidinyl, piperidino, morpholino, thiomorpholino and piperazinyl.
  • Non-aromatic heterocyclic groups include saturated and partially unsaturated ring systems.
  • aromatic heterocyclic groups are pyridinyl, imidazolyl, pyrimidinyl, pyrazolyl, triazolyl, pyrazinyl, tetrazolyl, furyl, thienyl, isoxazolyl and thiazolyl.
  • Heterocyclic groups having a fused benzene ring include chroman, benzodihydrofuran and benzimidazolyl.
  • Heterocyclic groups having one or two oxo moieties include phthalimide and uracil.
  • 5-10 membered heteroaryl includes aromatic heterocyclic groups containing one or more heteroatoms each selected from O, S and N, wherein each heterocyclic group has from 5 to 10 atoms in its ring system.
  • suitable 5-10 membered heteroaryl groups include pyridinyl, imidazolyl, pyrimidinyl, pyrazolyl, (1,2,3,)- and (1,2,4)-triazolyl, pyrazinyl, tetrazolyl, furyl, thienyl, isoxazolyl, oxazolyl, pyrrolyl and thiazolyl.
  • isolated or purified form means isolated or purified from a reaction mixture, e.g., a reaction mixture containing a 15-membered azalide starting material that is then purified to contain at least about 95% of a compound of formula 1; bacterial culture or broth; or natural, e.g., plant or animal, source, e using conventional purification techniques such as chromatography, recrystallization and others known to those skilled in the art, as well as those methods disclosed herein.
  • phrases “pharmaceutically acceptable salt(s)”, as used herein, unless otherwise indicated, includes salts of acidic or basic groups which may be present in the compounds of the present invention.
  • the compounds of the present invention that are basic in nature are capable of forming a wide variety of salts with various inorganic and organic acids.
  • the acids that may be used to prepare pharmaceutically acceptable acid addition salts of such basic compounds of the present invention are those that form non-toxic acid addition salts, i.e., salts containing pharmacologically acceptable anions, such as the hydrochloride, hydrobromide, hydroiodide, nitrate, sulfate, bisulfate, phosphate, acid phosphate, isonicotinate, acetate, lactate, salicylate, citrate, acid citrate, tartrate, pantothenate, bitartrate, ascorbate, succinate, maleate, gentisinate, fumarate, gluconate, glucaronate, saccharate, formate, benzoate, glutamate, methanesulfonate, ethanesulfonate, benzenesulfonate, p-toluenesulfonate and pamoate (i.e., 1,1′-methylene-bis-(2-hydroxy-3-naphtho
  • the compounds of formula 1 can be used as antibacterial and an antiprotozoa agents when in admixture with the compounds of formula 5.
  • the ratio of a compound of formula 1 to a compound of formula 5 ranges from about 2:98 to about 40:60.
  • Those compounds of the present invention that are acidic in nature are capable of forming base salts with various pharmacologically acceptable cations.
  • Examples of such salts include the alkali metal or alkaline earth metal salts and, particularly, the calcium, magnesium, sodium and potassium salts of the compounds of the present invention.
  • Certain compounds of the present invention may have asymmetric centers and therefore exist in different enantiomeric and diastereomic forms.
  • This invention relates to the use of all optical isomers and stereoisomers of the compounds of the present invention, and mixtures thereof, and to all pharmaceutical compositions and methods of treatment that may employ or contain them.
  • the present invention includes the compounds of the present invention, and the pharmaceutically acceptable salts thereof, wherein one or more hydrogen, carbon or other atoms are replaced by isotopes thereof.
  • Such compounds may be useful as research and diagnostic tools in metabolism pharmacokinetic studies and in binding assays.
  • the compounds of the present invention are readily prepared. Referring to Scheme 1 above, starting compounds of formula 6 are readily available, either commercially or via conventional organic synthesis.
  • the compounds of formula 6 are treated with hydroxylamine in the presence of base, preferably an inorganic base such as an alkali metal bicarbonate or carbonate, or an alkaline earth carbonate, in the presence of water and a water-soluble organic solvent, to afford the oxime compounds of formula 7.
  • the inorganic base is sodium carbonate
  • the water-soluble organic solvent is methanol.
  • the compounds of formula 7 are then treated with aqueous base and a reagent that converts the oxime hydroxyl group of the compounds of formula 7 into a leaving group, and ultimately provides the iminoether compounds of formula 8.
  • Reagents useful in this regard include, but are not limited to, p-toluenesulfonyl halides or anhydrides, methanesulfonyl halides or anhydrides, trifluoromethanesulfonyl halides or anhydrides, p-bromobenzenesulfonyl halides or anhydrides, and the like.
  • the reagent is p-toluenesulfonyl chloride.
  • the compounds of formula 8 are then reduced with a conventional hydride reducing agent, preferably sodium borohydride, to afford the compounds of formula 5 wherein R 9 is cladinosyl.
  • a conventional hydride reducing agent preferably sodium borohydride
  • the compound of formula 5 is desmethylazithromycin.
  • the 2′ hydroxyl group of the desosaminyl group of the compounds of formula 5 can first be protected with a suitable protecting group, preferably with a benzyloxycarbonyl (“Cbz”) group using Cbz-Cl, to afford the compounds of formula 9.
  • a suitable protecting group preferably with a benzyloxycarbonyl (“Cbz”) group using Cbz-Cl
  • Such a reaction can be performed at a temperature of about ⁇ 78° C. to about room temperature, preferably at about 0° C.
  • the 4′′ hydroxyl group of the cladinosyl group of the compounds of formula 9 can then be oxidized using standard oxidation conditions to afford the compounds of formula 10, which bear a 4′′-oxocladinosyl group.
  • Typical reaction conditions for the oxidation include: (a) Moffatt oxidation which employs N-ethyl-N′-(N,N-dimethylaminopropyl)carbodiimide and DMSO in the presence of pyridinium trifluoroacetate; or (b) Swern oxidation in which oxalyl chloride and DMSO in CH 2 Cl 2 is followed by the addition of triethylamine or alternatively trifluoracetic anhydride and DMSO in CH 2 Cl 12 is followed by the addition of triethylamine.
  • the oxidation is a Swern oxidation that is performed in the presence of trifluoroacetic anhydride, at a temperature of about —78° C. to about 0° C. More preferably, the Swern oxidation is performed at about ⁇ 60° C.
  • the carbonyl group of the 4′′-oxocladinosyl group of the compounds of formula 10 is then converted into an epoxide, to afford the compounds of formula 11.
  • the compounds of formula 10 may be converted to the compounds of formula 11 by at least two methods.
  • the compound of formula 10 is treated with (CH 3 ) 3 S(O)X 2 , wherein X 2 is halo, —BF 4 or —PF 6 , preferably iodo, in the presence of a base such as potassium tert-butoxide, sodium tert-butoxide, sodium ethoxide, sodium hydride, 1,1,3,3-tetramethylguanidine, 1,8-diazabicyclo[5.4.0]undec-7-ene, 1,5-diazabicylo[4.3.0]non-5-ene, potassium ethoxide, or sodium methoxide, preferably a sodium-containing base such as sodium hydride, in a solvent such as THF, an ether solvent, dimethylformamide (DMF), or methyl sulfoxide (DMSO), or a mixture of two or more of the foregoing solvents, at a temperature within the range of about 0° C. to about 60° C.;
  • a base such as potassium
  • the compounds of formula 10 are treated with (CH 3 ) 3 SX 2 , wherein X 2 is halo, —BF 4 or —PF 6 , preferably —BF 4 , in the presence of a base such as potassium tert-butoxide, sodium ethoxide, sodium tert-butoxide, sodium hydride, 1,1,3,3-tetramethylguanidine, 1,8-diazabicyclo[5.4.0]undec-7-ene, 1,5-diazabicylo[4.3.0]non-5-ene, potassium ethoxide, potassium hexamethyldisilazane (KHMDS) or sodium methoxide, preferably KHMDS, in a solvent such as THF, an ether solvent, DMF, or DMSO, or a mixture of two or more of the foregoing solvents, at a temperature within the range of about ⁇ 78° C. to about 60° C.
  • a base such as potassium tert-butoxide,
  • Method B is employed, wherein trimethylsulfonium bromide and potassium tert-butoxide are used.
  • the protecting, preferably Cbz, group of the desosaminyl group of the compounds of formula 11 is hydrogenolyzed in the presence of H 2 , Pd/C and any suitable organic solvent, preferably methyl tert-butyl ether (“MTBE”), to afford the compounds of formula 12.
  • Compounds of the formula HN(R 13 )(R 14 ) include primary and secondary alkyl, alkenyl and alkynyl amines, and are readily obtainable by those skilled in the art. Such a reaction advantageously proceeds at a temperature of about room temperature to about 80° C., preferably at about 30° C. to about 60° C.
  • the protecting, preferably Cbz, group that resides on the 2′-hydroxyl group of the desosaminyl group of the compounds of formula 10 is simply removed. Procedures for removing such protecting groups can be found, for example, in Greene et al., supra.
  • the present inventors have discovered that the compounds of formula 5, which are 15-membered azalides, are convertible to the compounds of formulae 1 and 15, which are 13-membered azalides.
  • the present inventors have discovered that the conversion of the compounds of formula 5 to the compounds of formulae 1 and 15, preferably wherein R 6 , R 7 and R 8 are hydrogen, and preferably wherein R 1 is trans with respect to the methyl group at position 11 of formulae 1 and 15, can be effected by contacting a compound of the formula 5 with an acid or base.
  • Acids useful in this regard include, but are not limited to, inorganic acids, such as hydrochloric, hydrobromic, hydroiodic, hydrofluoric, sulfuric and nitric acids; and organic acids, such as formic, acetic, trifluoroacetic, methanesulfonic, trifluoromethanesulfonic, benzenesulfonic and p-toluenesulfonic acids.
  • the inorganic acids are preferably used in the form of their aqueous solutions; more preferably, the inorganic acids are used in the form of their dilute, e.g., ⁇ 2M, aqueous solutions.
  • the organic acids can be used in the form of dilute aqueous or organic solutions, wherein the organic solution comprises a solvent that sufficiently solvates both the organic acid and the compound of formula 5.
  • Bases useful in this regard include inorganic bases, such as hydroxides of sodium, lithium, potassium, magnesium or calcium; carbonates and bicarbonates of sodium, lithium or potassium; and carbonates of magnesium or calcium bicarbonate or carbonate.
  • organic bases such as triethylamine, ethyldiisopropylamine, pyridine, 4-dimethylaminopyridine, collidine, lutidine, and mixtures thereof.
  • the inorganic bases are used in the form of dilute aqueous solutions.
  • the organic bases are used in the form of dilute organic solutions.
  • Inorganic or organic bases are preferred over inorganic or organic acids.
  • the compounds of formula 5 can be added to the acid or base, or vice versa. Either way, the reaction of the compounds of formula 5 with the acid or base is facilitated by heating a mixture of a compound of formula 5 and an acid or base at a temperature of about room temperature to about 100° C., preferably at a temperature of about room temperature to about 60° C., and more preferably at a temperature of about 30° C. to about 40° C. Such heating can occur for a period of about 20 minutes to about 48 h, preferably for a period of about 1 hour to about 36 h.
  • the present invention further relates to a method of preparing a compound of formulae 1 and 15, or a pharmaceutically acceptable salt thereof, which comprises the step of heating a compound of formula 5 in the presence of solvent.
  • Such heating is achieved at a temperature of about room temperature to about 100° C., preferably at a temperature of about room temperature to about 60° C., and more preferably at a temperature of about 30° C. to about 40° C.
  • the heating can occur for a period of about 20 minutes to about 48 h, preferably for a period of about 1 h to about 36 h.
  • Useful solvents are those that sufficiently solvate the compounds of formula 5, and include, but are not limited to, lower alkanols, diethyl ether, acetone, acetonitrile, tetrahydrofuran, ethyl acetate, benzene, toluene, chloroform, metheylene chloride, dimethylformamide, dimethylsulfoxide, N-methylpyrrolidinone, and the like, and mixtures thereof.
  • protic solvents include, but are not limited to, lower alkanols, such as methanol, ethanol, n-propanol, iso-propanol, n-butanol, iso-butanol and sec-butanol; phenolic compounds, such as phenol, halophenols, naphthols and the like; water; and mixtures thereof. It is to be pointed out, however, that the protic solvent is not a carboxylic acid.
  • the solvent system comprises a protic solvent
  • the protic solvent is present in an amount of about 10% to about 75% by volume, preferably in an amount of about 25% to about 60% by volume.
  • protic solvent will be miscible in the solvent in which the compound of formula 5 is heated, when heated at the heating temperature.
  • the solvent system comprises acetonitrile. More preferably, the solvent system further comprises a lower alkanol or water. Where the solvent system comprises a lower alkanol, the lower alkanol is preferably methanol.
  • the compounds of formulae 1 and 15 can be isolated or purified via standard means, e.g., recrystallization; chromatography using a column, preparative plate or CHROMATOTRON® device; or by other means know to those skilled in the art. Where chromatography is employed to isolate or purify the compounds of formulae 1 and 15, the present inventors have discovered that an eluent system that comprises a hydrocarbon solvent and an organic amine provides enhanced separation results, relative to other eluent systems.
  • Hydrocarbon solvents useful in this regard include, but are not limited to, pentane, hexane or hexanes, heptane, petroleum ether, benzene, toluene, xylenes, and the like.
  • the hydrocarbon solvent is hexane or hexanes.
  • Useful organic amines include, but are not limited to, diethylamine, triethylamine, ethyldiisopropylamine, pyridine, 4-dimethylaminopyridine, collidine, lutidine, and mixtures thereof.
  • the organic amine is diethylamine.
  • the eluent system that comprises a hydrocarbon solvent and an organic amine further comprises a polar organic solvent.
  • polar organic solvents include, but are not limited to, lower alkanols, acetonitrile, dimethylformamide, dimethylsulfoxide, N-methylpyrrolidinone, 1,4-dioxane, tetrahydrofuran, diethyl ether, ethyl acetate, and the like.
  • the polar organic solvent is acetonitrile. More preferably, the eluent system comprises hexanes, diethylamine and acetonitrile.
  • the proportions of hydrocarbon solvent, organic amine, and optionally polar organic solvent can vary, but generally, the ratio of hydrocarbon solvent to organic amine will range from about 10:1 to about 1:1, preferably about 7:1 to about 2:1.
  • the eluent system further comprises a polar organic solvent
  • the eluent system will contain the polar organic solvent at between about 1% to about 15% by volume, preferably at between about 1.5% to about 10% by volume.
  • preferred compounds of formulae 1 and 15 are those wherein R 1 is acetyl.
  • R 1 is acetyl.
  • the compounds of formulae 1 and 15 wherein R 1 is acetyl are useful as intermediates for obtaining other compounds of formulae 1 and 15, as described below.
  • the oxidation reaction proceeds in the presence of lead tetraacetate, sodium periodate, or any other oxidizing agents that convert 1-methyl-1,2-diols to methyl ketones.
  • Reaction conditions useful for oxidizing a 1-methyl-1,2-diol to a methyl ketone are known to those skilled in the art.
  • the oxidation reaction proceeds in the presence of about 1.0 to about 1.5 equivalents of lead tetraacetate per equivalent of the compound of formulae 1 and 15, and at the temperature of about ⁇ 78° C. to room temperature, preferably at about ⁇ 10° C. to about 10° C., and for a duration of about 10 minutes to about 6 h.
  • Such a reaction advantageously proceeds in the presence of an excess of dimethylformamide dimethyl acetal.
  • this reaction is performed in the absence of additional solvent.
  • Preferable organic bases include diisopropylethylamine, pyridine, 4-dimethylaminopyridine, lutidine, collidine, and the like, and mixtures thereof.
  • the organic base is diisopropylethylamine.
  • the protic solvent is 2-methoxyethanol or 2-propanol.
  • R 1 1-N-substituted-3-pyrazolyl, except that R 3 N(H)C( ⁇ NH)NH 2 is used in place at the 1-substituted hydrazine.
  • Methods for obtaining R 3 N(H)C( ⁇ NH)NH 2 are known to those skilled in the art.
  • aprotic solvents include, but are not limited to, pentane, hexanes, heptane, toluene, benzene, xylenes, petroleum ether, tetrahydrofuran, 1,4-dioxane and the like.
  • the aprotic solvent is toluene.
  • intramolecular cyclization advantageously proceeds at high temperature, e.g., at about 110° C. or above. Accordingly, intramolecular cyclization is effected by heating a mixture of a high boiling solvent and a compound of formulae 1 and 15 wherein R 1 is 3-N,N-dimethylamino-2-propenoyl to a temperature of about 110° C. or above for a duration of about 6 h to about 48 h, preferably for about 12 h to about 24 h.
  • Suitable high boiling solvents include, but are not limited to, toluene, xylenes, chlorobenzene, dimethylformamide, 2-methoxyethanol, dimethylsulfoxide and the like.
  • the high boiling solvent is 2-methoxyethanol.
  • a hydride reducing agent such as NaBH 4 , LiAlH 4 , NaAlH 4 , a SELECTIDE® reducing agent, or another hydride reagent known to those skilled in the art.
  • the compounds of the present invention may have asymmetric carbon atoms and therefore exist in different enantiomeric and diastereomeric forms.
  • Diastereomeric mixtures can be separated into their individual diastereomers on the basis of their physical chemical differences by methods known to those skilled in the art, for example, by chromatography or fractional crystallization.
  • Enantiomers may be separated by converting the enantiomeric mixtures into a diastereomeric mixture by reaction with an appropriate optically active compound (e.g., alcohol), separating the diastereomers and converting (e.g., hydrolyzing) the individual diastereomers to the corresponding pure enantiomers.
  • an appropriate optically active compound e.g., alcohol
  • the compounds of the present invention that are basic in nature are capable of forming a wide variety of different salts with various inorganic and organic acids. Although such salts must be pharmaceutically acceptable for administration to mammals, it is often desirable in practice to initially isolate the compound of the present invention from the reaction mixture as a pharmaceutically unacceptable salt and then simply convert the latter back to the free base compound by treatment with an alkaline reagent and subsequently convert the latter free base to a pharmaceutically acceptable acid addition salt.
  • the acid addition salts of the base compounds of this invention are readily prepared by contacting the base compound with a substantially equivalent amount of the chosen mineral or organic acid in an aqueous solvent medium or in a suitable organic solvent, such as methanol or ethanol. Upon careful evaporation of the solvent, the desired solid salt is readily obtained.
  • the desired salt can also be precipitated from a solution of the free base in an organic solvent by adding to the solution an appropriate mineral or organic acid.
  • Those compounds of the present invention that are acidic in nature are capable of forming base salts with various cations.
  • base salts include the alkali metal or alkaline-earth metal salts and particularly the sodium, amine and potassium salts. These salts are all prepared by conventional techniques.
  • the chemical bases which are used as reagents to prepare the pharmaceutically acceptable base salts of this invention are those which form non-toxic base salts with the acidic compounds of the present invention.
  • Such non-toxic base salts include those derived from such pharmacologically acceptable cations as sodium, potassium, calcium, magnesium, various amine cations, etc.
  • These salts can easily be prepared by contacting the corresponding acidic compounds with an aqueous solution containing the desired pharmacologically acceptable bases with cations such as sodium, potassium, calcium, magnesium, various amine cations, etc., and then evaporating the resulting solution to dryness, preferably under reduced pressure.
  • they may also be prepared by mixing lower alkanolic solutions of the acidic compounds and the desired alkali metal alkoxide together, and then evaporating the resulting solution to dryness in the same manner as before.
  • stoichiometric quantities of reagents are preferably employed in order to ensure completeness of reaction and maximum yields of the desired final product.
  • the antibacterial and antiprotozoa activity of the compounds of the present invention against bacterial and protozoa pathogens is demonstrated by the compounds' ability to inhibit growth of defined strains of human or animal pathogens.
  • Assay I employs conventional methodology and interpretation criteria and is designed to provide direction for chemical modifications that may lead to compounds that circumvent defined mechanisms of macrolide resistance.
  • Assay I a panel of bacterial strains is assembled to include a variety of target pathogenic species, including representatives of macrolide resistance mechanisms that have been characterized. Use of this panel enables the chemical structure/activity relationship to be determined with respect to potency, spectrum of activity, and structural elements or modifications that may be necessary to obviate resistance mechanisms.
  • Bacterial pathogens that comprise the screening panel are shown in the table below. In many cases, both the macrolide-susceptible parent strain and the macrolide-resistant strain derived from it are available to provide a more accurate assessment of the compounds' ability to circumvent the resistance mechanism.
  • Strains that contain the gene with the designation of ermA/ermB/ermC are resistant to macrolides, lincosamides, and streptogramin B antibiotics due to modifications (methylation) of 23S rRNA molecules by an Erm methylase, thereby generally prevent the binding of all three structural classes.
  • Two types of macrolide efflux have been described; msrA encodes a component of an efflux system in staphylococci that prevents the entry of macrolides and streptogramins while mefA/E encodes a transmembrane protein that appears to efflux only macrolides.
  • Inactivation of macrolide antibiotics can occur and can be mediated by either a phosphorylation of the 2′-hydroxyl (mph) or by cleavage of the macrocyclic lactone (esterase).
  • the strains may be characterized using conventional polymerase chain reaction (PCR) technology and/or by sequencing the resistance determinant.
  • PCR polymerase chain reaction
  • the use of PCR technology in this application is described in J. Sutcliffe et al., “Detection Of Erythromycin-Resistant Determinants By PCR”, Antimicrobial Agents and Chemotherapy, 40(11), 2562-2566 (1996).
  • the assay is performed in microtiter trays and interpreted according to Performance Standards for Antimicrobial Disk Susceptibility Tests—Sixth Edition; Approved Standard , published by The National Committee for Clinical Laboratory Standards (NCCLS) guidelines; the minimum inhibitory concentration (MIC) is used to compare strains.
  • Compounds are initially dissolved in dimethylsulfoxide (DMSO) as 40 mg/ml stock solutions.
  • DMSO dimethylsulfoxide
  • Assay II is utilized to test for activity against Pasteurella multocida and Assay III is utilized to test for activity against Pasteurella haemolytica.
  • This assay is based on the liquid dilution method in microliter format.
  • a single colony of P. multocida (strain 59A067) is inoculated into 5 ml of brain heart infusion (BHI) broth.
  • the test compounds are prepared by solubilizing 1 mg of the compound in 125 ⁇ l of dimethylsulfoxide (DMSO). Dilutions of the test compound are prepared using uninoculated BHI broth. The concentrations of the test compound used range from 200 ⁇ g/ml to 0.098 ⁇ g/ml by two-fold serial dilutions.
  • the P. multocida inoculated BHI is diluted with uninoculated BHI broth to make a 10 4 cell suspension per 200 ⁇ l.
  • the BHI cell suspensions are mixed with respective serial dilutions of the test compound, and incubated at 37° C. for 18 hours.
  • the minimum inhibitory concentration (MIC) is equal to the concentration of the compound exhibiting 100% inhibition of growth of P. multocida as determined by comparison with an uninoculated control.
  • This assay is based on the agar dilution method using a Steers Replicator. Two to five colonies isolated from an agar plate are inoculated into BHI broth and incubated overnight at 37° C. with shaking (200 rpm). The next morning, 300 ⁇ l of the fully grown P. haemolytica preculture is inoculated into 3 ml of fresh BHI broth and is incubated at 37° C. with shaking (200 rpm). The appropriate amounts of the test compounds are dissolved in ethanol and a series of two-fold serial dilutions are prepared. Two ml of the respective serial dilution is mixed with 18 ml of molten BHI agar and solidified. When the inoculated P.
  • haemolytica culture reaches 0.5 McFarland standard density, about 5 ⁇ l of the P. haemolytica culture is inoculated onto BHI agar plates containing the various concentrations of the test compound using a Steers Replicator and incubated for 18 hours at 37° C. Initial concentrations of the test compound range from 100-200 ⁇ g/ml. The MIC is equal to the concentration of the test compound exhibiting 100% inhibition of growth of P. haemolytica as determined by comparison with an uninoculated control.
  • the in vivo activity of the compounds of the present invention can be determined by conventional animal protection studies well known to those skilled in the art, usually carried out in mice.
  • mice are allotted to cages (10 per cage) upon their arrival, and allowed to acclimate for a minimum of 48 hours before being used.
  • Animals are inoculated with 0.5 ml of a 3 ⁇ 10 3 CFU/ml bacterial suspension ( P. multocida ) strain 59A006) intraperitoneally.
  • Each experiment has at least 3 non-medicated control groups including one infected with 0.1 ⁇ challenge dose and two infected with 1 ⁇ challenge dose; a 10 ⁇ challenge data group may also be used.
  • all mice in a given study can be challenged within 30-90 minutes, especially if a repeating syringe (such as a Cornwall® syringe) is used to administer the challenge.
  • a repeating syringe such as a Cornwall® syringe
  • the first compound treatment is given. It may be necessary for a second person to begin compound dosing if all of the animals have not been challenged at the end of 30 minutes.
  • the routes of administration are subcutaneous or oral doses. Subcutaneous doses are administered into the loose skin in the back of the neck whereas oral doses are given by means of a feeding needle. In both cases, a volume of 0.2 ml is used per mouse. Compounds are administered 30 minutes, 4 hours, and 24 hours after challenge. A control compound of known efficacy administered by the same route is included in each test. Animals are observed daily, and the number of survivors in each group is recorded. The P. multocida model monitoring continues for 96 hours (four days) post challenge.
  • the PD 50 is a calculated dose at which the compound tested protects 50% of a group of mice from mortality due to the bacterial infection which would be lethal in the absence of drug treatment.
  • the compounds of the present invention show antibacterial activity in one of the above-described assays, particularly in Assay IV.
  • the compounds of the present invention may be administered through oral, parenteral, topical, or rectal routes in the treatment of bacterial and protozoal infections.
  • these compounds are most desirably administered in dosages ranging from about 0.2 mg per kg body weight per day (mg/kg/day) to about 200 mg/kg/day in single or divided doses (i.e., from 1 to 4 doses per day), although variations will necessarily occur depending upon the species, weight and condition of the subject being treated and the particular route of administration chosen.
  • a dosage level that is in the range of about 4 mg/kg/day to about 50 mg/kg/day is most desirably employed.
  • Variations may nevertheless occur depending upon the species of mammal, fish or bird being treated and its individual response to said medicament, as well as on the type of pharmaceutical formulation chosen and the time period and interval at which such administration is carried out.
  • dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases still larger doses may be employed without causing any harmful side effects, provided that such larger doses are first divided into several small doses for administration throughout the day.
  • the active compounds may be administered alone or in combination with pharmaceutically acceptable carriers or diluents by the routes previously indicated, and such administration may be carried out in single or multiple doses. More particularly, the active compounds may be administered in a wide variety of different dosage forms, i.e., they may be combined with various pharmaceutically acceptable inert carriers in the form of tablets, capsules, lozenges, troches, hard candies, powders, sprays, creams, salves, suppositories, jellies, gels, pastes, lotions, ointments, aqueous suspensions, injectable solutions, elixirs, syrups, and the like.
  • Such carriers include solid diluents or fillers, sterile aqueous media and various non-toxic organic solvents, etc.
  • oral pharmaceutical compositions can be suitably sweetened and/or flavored.
  • the active compounds are present in such dosage forms at concentration levels ranging from about 5.0% to about 99% by weight.
  • tablets containing various excipients such as microcrystalline cellulose, sodium citrate, calcium carbonate, dicalcium phosphate and glycine may be employed along with various disintegrants such as starch (and preferably corn, potato or tapioca starch), alginic acid and certain complex silicates, together with granulation binders like polyvinylpyrrolidone, sucrose, gelatin and acacia.
  • disintegrants such as starch (and preferably corn, potato or tapioca starch), alginic acid and certain complex silicates, together with granulation binders like polyvinylpyrrolidone, sucrose, gelatin and acacia.
  • lubricating agents such as magnesium stearate, sodium lauryl sulfate and talc are often very useful for tabletting purposes.
  • compositions of a similar type may also be employed as fillers in gelatin capsules; preferred materials in this connection also include lactose or milk sugar as well as high molecular weight polyethylene glycols.
  • the active compound may be combined with various sweetening or flavoring agents, coloring matter or dyes, and, if so desired, emulsifying and/or suspending agents as well, together with such diluents as water, ethanol, propylene glycol, glycerin and various like combinations thereof.
  • solutions of an active compound in either sesame or peanut oil or in aqueous propylene glycol may be employed.
  • the aqueous solutions should be suitably buffered (preferably pH greater than 8) if necessary and the liquid diluent first rendered isotonic.
  • These aqueous solutions are suitable for intravenous injection purposes.
  • the oily solutions are suitable for intraarticular, intramuscular and subcutaneous injection purposes. The preparation of all these solutions under sterile conditions is readily accomplished by standard pharmaceutical techniques will known to those skilled in the art.
  • the active compounds may be administered in the feed of the animals or orally as a drench composition.
  • the active compounds may also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles.
  • Liposomes can be formed from a variety of phospholipids, such as cholesterol, stearylamine or phosphatidylcholines.
  • the active compounds may also be coupled with soluble polymers as targetable drug carriers.
  • soluble polymers can include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropylmethacrylamide phenyl, polyhydroxyethylaspartamide-phenol or polyethyleneoxide-polylysine substituted with palmitoylresidues.
  • the active compounds may be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, polyglycolic acid, copolymers of polylactic and polyglycolic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates and cross-linked or amphipathic block copolymers of hydrogels.
  • a drug for example, polylactic acid, polyglycolic acid, copolymers of polylactic and polyglycolic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates and cross-linked or amphipathic block copolymers of hydrogels.
  • Examples 1-12 have the general formula 3 below, with the R 1 and R 6 substituents indicated in Table 1, below. The compounds were prepared as described in Examples 1-12.
  • Desmethylazithromycin (30 g, 41 mmol) was added to deionized water (2 L), and then acetonitrile was added to effect complete dissolution (total volume was approximately 4.5 L). The resulting mixture was allowed to stir at ambient temperature for 2 days, at which time HPLC indicated the presence of a new peak (approx. 22% by peak area). The acetonitrile was removed in vacuo. To the resulting residue was added potassium carbonate (30 g), followed by methylene chloride (0.3 L). The mixture was shaken, and the lower organic phase removed. The aqueous phase was re-extracted with methylene chloride (2 ⁇ 0.3 L).
  • Examples 13-14 have the general formula 4 below, with the X substituents indicated in Table 2, below. The compounds were prepared as described in Examples 13-14.
  • Compound 1B (1.5 g, 2.23 mMole) was dissolved in dimethylformamide dimethyl acetal (15 mL) and heated to 105° C. for 16 h. After cooling to room temperature, the mixture was concentrated under reduced pressure. The residue was dissolved in 2-methoxyethanol (25 mL) and heated to 125° C. for 16 h. The mixture was allowed to cool to room temperature and then diluted with ethyl acetate (100 mL). The mixture was washed with water (2 ⁇ 20 mL) and brine (20 mL), dried over magnesium sulfate, filtered, and concentrated under reduced pressure.
  • Examples 15-17 have the general formula 14 below, with the R 1 substituents indicated in Table 3, below. The compounds were prepared as described in Examples 15-17.
  • Combined aqueous phases were combined with fresh methylene chloride (1.5 L) and the pH of the aqueous phase adjusted to 8.5 using solid potassium carbonate. The phases were separated and the aqueous phase re-extracted twice with additional methylene chloride. Combined organic phases were dried over sodium sulfate, then filtered. The filtrate was concentrated on a rotary evaporator to afford a beige foam (230 g). Purification of the foam was effected on a slurry-packed silica gel column using 19/3 (v/v) hexanes-diethylamine as the mobile phase.

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US20030229031A1 (en) * 1999-05-24 2003-12-11 Pfizer Inc. 13-Methyl erythromycin derivatives
US20040092459A1 (en) * 1998-01-02 2004-05-13 Pfizer Inc. Novel macrolides
US20040235759A1 (en) * 2000-04-27 2004-11-25 Pfizer Inc Use of azalide antibiotic compositions for treating or preventing a bacterial or protozoal infection in mammals
US20070141086A1 (en) * 2003-11-21 2007-06-21 Ohara Michael K Use of antibiotics as vaccine adjuvants
US20110152239A1 (en) * 2008-05-15 2011-06-23 Taisho Pharmaceutical Co., Ltd. 10a-azalide compound having 4-membered ring structure
US20190062342A1 (en) * 2003-03-10 2019-02-28 Merck Sharp Dohme Corp. Novel antibacterial agents
CN113646319A (zh) * 2018-11-19 2021-11-12 齐卡尼治疗股份有限公司 C11-环取代的13元大环内酯及其用途

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US20040092459A1 (en) * 1998-01-02 2004-05-13 Pfizer Inc. Novel macrolides
US7015203B2 (en) 1998-01-02 2006-03-21 Pfizer Inc. Macrolides
US20030229031A1 (en) * 1999-05-24 2003-12-11 Pfizer Inc. 13-Methyl erythromycin derivatives
US6777543B2 (en) 1999-05-24 2004-08-17 Pfizer, Inc. 13-methyl erythromycin derivatives
US20030092642A1 (en) * 1999-06-30 2003-05-15 Rafka Robert J. Diphosphate salt of a 4" -substituted-9-deoxo-9A-AZA-9A-homoerythromycin derivative and its pharmaceutical composition
US6861412B2 (en) * 1999-06-30 2005-03-01 Pfizer, Inc. Diphosphate salt of A 4″-substituted-9-deoxo-9A-AZA-9A-homoerythromycin derivative and its pharmaceutical composition
US20040235759A1 (en) * 2000-04-27 2004-11-25 Pfizer Inc Use of azalide antibiotic compositions for treating or preventing a bacterial or protozoal infection in mammals
US20190062342A1 (en) * 2003-03-10 2019-02-28 Merck Sharp Dohme Corp. Novel antibacterial agents
US20070141086A1 (en) * 2003-11-21 2007-06-21 Ohara Michael K Use of antibiotics as vaccine adjuvants
US20110152239A1 (en) * 2008-05-15 2011-06-23 Taisho Pharmaceutical Co., Ltd. 10a-azalide compound having 4-membered ring structure
US8299035B2 (en) 2008-05-15 2012-10-30 Taisho Pharmaceutucal Co., Ltd. 10a-azalide compound having 4-membered ring structure
CN113646319A (zh) * 2018-11-19 2021-11-12 齐卡尼治疗股份有限公司 C11-环取代的13元大环内酯及其用途

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